Staywell Pediatric LLC
Nurse Practitioner, Pediatrics in West Haven, Connecticut
1255521019- Practice location
- 365 Elm St, West Haven, CT 06516-4217
- Phone
- 203-932-3227
- Fax
- 203-931-2847
- Last updated
- July 27, 2007
Staywell Pediatric LLC is a healthcare organization based in West Haven, CT. Staywell Pediatric LLC practices in West Haven, CT. The NPI Number for Staywell Pediatric LLC is 1255521019 and holds a License No. 000373 (CT). The current practice location address for Staywell Pediatric LLC is 365 Elm St, West Haven, CT 06516-4217 and can be reached out via phone at 203-932-3227 and via fax at 203-931-2847.
Provider Profile Details
- NPI Number
- 1255521019
- Provider Name
- Staywell Pediatric LLC
- Provider Entity Type
- Organization
- Address
- 365 Elm St, West Haven, CT 06516-4217
- Phone Number
- 203-932-3227
- Fax Number
- 203-931-2847
- Primary Taxonomy
- Nurse Practitioner, Pediatrics · 363LP0200X
- Organization Subpart
- No
- Authorized Official
- Dr. Thomas Etkin, MD · Owner · 230-932-3227
- Provider Enumeration Date
- July 27, 2007
- Last Update Date
- July 27, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 365 Elm St
West Haven, CT 06516-4217 - City
- West Haven
- State
- Connecticut
- Zip
- 06516-4217
- Phone Number
- 203-932-3227
- Fax Number
- 203-931-2847
Provider Business Mailing Address Details
- Address
- 365 Elm St
West Haven, CT 06516-4217 - City
- West Haven
- State
- CT
- Zip
- 06516-4217
- Phone Number
- 203-932-3227
- Fax Number
- 203-931-2847
License Information
- License Number
- 000373
- License State
- CT
- Taxonomy
- Nurse Practitioner, Pediatrics · 363LP0200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Pediatrics providers near West Haven, CT
View all Nurse Practitioner, Pediatrics providers in West Haven →- Mrs. Elizabeth Marcucio, APRNNurse Practitioner, Pediatrics · NPI 1750681003
- Ms. Diane E Fahey, APRNNurse Practitioner, Pediatrics · NPI 1144385261
- Pediatric Advanced Care Of West Haven LLCNurse Practitioner, Pediatrics · NPI 1942669916
- Susan Marchitto, PNP-BCNurse Practitioner, Pediatrics · NPI 1033460571
Frequently Asked Questions
What is the NPI number of Staywell Pediatric LLC?
The NPI number of Staywell Pediatric LLC is 1255521019. It was assigned on July 27, 2007 and is currently active in the NPPES registry.
What is the specialty of Staywell Pediatric LLC?
Staywell Pediatric LLC is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in CT under license number 000373.
Where does Staywell Pediatric LLC practice?
The practice location is 365 Elm St, West Haven, CT 06516-4217. The office can be reached at 203-932-3227 (phone) or 203-931-2847 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255521019 directly on the NPPES registry website.